stomach

Peptic Ulcer Location

by

Q) False statement about location of peptic ulcer?

a) Type 1 is on greater curvature

b) Type 2 is gastric body and duodenal

c) Pauchet procedure is for type IV

d) Type Iv is high on lesser curvature

Ans 16) a

TYPE             LOCATION                             ACID LEVEL
I                   Lesser curve at incisura         Low to normal
II               Gastric body with duodenal ulcer Increased
III                      Prepyloric                           Increased
IV                   High on lesser curve               Normal
V                        Anywhere                            Normal,

D 2 gastrectomy

by

Q) D2 gastrectomy false statement is ? ( AIIMS 2021) 
a. No benefit in Overall Survival ( OS) 

b. Better Disease free Survival ( DFS) 
c. Recommended to take stomach, omentum, retro peritoneum en masse
d. Can remove spleen or pancreas if involved

Maltoma Stomach

by

Q) False about Maltoma of stomach

a Rituximab based therapy is useful in  resistant cases

b) Most respond to anti H pylori eradication 

c) T (11, 18) respond to h pylori eradication

d)

Gastric Lymphadenopathy

by

Q ) which is one of the  criteria for diagnosis of gastric lymphadenopathy
a. mesenteric lymphoadenopathy
b. hepatic involvement

c. general lymph adenopathy
d . blood count within normal limt

Ans d

Dawson criteria

(1) absence of peripheral lymphadenopathy at the time of presentation;

(2) lack of enlarged mediastinal lymph nodes;

(3) normal total and differential white blood cell count

(4) predominance of bowel lesion at the time of laparotomy with only lymph nodes obviously affected in the immediate vicinity; and

(5) no lymphomatous involvement of liver and spleen